1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series A Convertible Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
3,873,530
|
$
0
|
I
|
By: Longitude Venture
Partners II, L.P.
(3)
|
Series B Convertible Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
3,248,600
|
$
0
|
I
|
By: Longitude Venture
Partners II, L.P.
(3)
|
Stock Option (Right to Buy)
|
Â
(4)
|
08/21/2023 |
Common Stock
|
47,620
|
$
0.1443
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(4)
|
12/04/2023 |
Common Stock
|
18,229
|
$
0.1443
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(5)
|
07/20/2025 |
Common Stock
|
52,421
|
$
6.2872
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
The Series A Convertible Preferred Stock and Series B Convertible Preferred Stock automatically convert into shares of Issuer's Common Stock on a 1:1 basis immediately prior to the completion of Issuer's initial public offering. |
(2) |
The expiration date is not relevant to the conversion of these securities. |
(3) |
The shares are held by Longitude Venture Partners II, L.P. ("Longitude Venture II"). Longitude Capital Partners II, LLC ("Longitude Capital II") is the general partner of Longitude Venture II and may be deemed to have sole voting, investment and dispositive power over the shares held by Longitude Venture II. Patrick G. Enright is a managing member of Longitude Capital II and in his capacity as such may be deemed to exercise shared voting and investment power over the shares held by Longitude Venture II. Mr. Enright disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(4) |
The shares underlying these options are fully vested and exercisable as of the date hereof. |
(5) |
The option is immediately exercisable in full or in part. The shares underlying this option vest pursuant to the following schedule: One twenty-fourth (1/24th) of the shares subject to the option vest in 24 successive, equal monthly installments measured from April 20, 2015, subject to Reporting Person's continued service relationship with the Issuer on each such vesting date. |